DONALD E. CLARKE, DDS, INC. (NPI# 1205434396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205434396 |
| Entity Type | Organization |
| Organization Name | DONALD E. CLARKE, DDS, INC. |
| Practice Address |
930 Florin Rd Ste 104 Sacramento CA 95831-5002 |
| Practice Telephone | 9164212424 |
| Mailing Telephone | 9164212424 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DR. DONALD E CLARKE (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 9164870117 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental Source of California | Doing Business As Name - Organization |
| Street Address |
930 FLORIN RD STE 104 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599529 | Us Dental Care | Clinic/Center | 1901 Watt Ave Ste 4, Sacramento, CA 95825-2152 | 2020-05-13 |
| 1104484807 | Health and Life Organization, Inc. | Clinic/Center | 7275 E Southgate Dr Ste 106, Sacramento, CA 95823-2610 | 2019-05-29 |
| 1013488931 | Webber Dental Group, Inc | Clinic/Center | 905 Secret River Dr Ste A, Sacramento, CA 95831-3437 | 2018-12-17 |
| 1790263887 | Jordan Gaddis D.d.s. A Professional Dental Corporation | Clinic/Center | 2835 Eastern Ave Ste 3, Sacramento, CA 95821-5400 | 2018-08-01 |
| 1104336478 | Louis M Kim, A Professional Dental Corporation | Clinic/Center | 1824 Avondale Ave, Sacramento, CA 95825-1378 | 2017-10-02 |
| 1326403544 | Lawrence Lau, Dmd, PC | Clinic/Center | 8848 Calvine Rd, Suite 120, Sacramento, CA 95828-9334 | 2015-12-16 |
| 1023445335 | Arthur A. L. Burbridge Dds Inc. | Clinic/Center | 7485 Rush River Dr, Suite 755, Sacramento, CA 95831-5259 | 2013-10-01 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1821357492 | Wellspace Health | Clinic/Center | 8231 E Stockton Blvd, Suite C, Sacramento, CA 95828-8202 | 2012-05-16 |
| 1346423316 | Melvin W. Walters, Dds - A Dental Corporation | Clinic/Center | 4450 Duckhorn Dr Ste B, Sacramento, CA 95834-2589 | 2007-12-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.